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MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Internal Medicine·HOLLYWOOD, MD·NPI: 1831592211Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.7M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.7M

$27,716,590

Total Claims

546K

Beneficiaries

464K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-37%
2019
$1.1M
+223%
2020
$3.4M
+35%
2021
$4.6M
+19%
2022
$5.5M
+14%
2023
$6.2M
-16%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 46% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$12.7M

150K claims · 45.7%

Your Cost: $84.35/claim|Median: $53.41
1.6× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$5.7M

88K claims · 20.5%

Your Cost: $64.79/claim|Median: $37.81
1.7× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.0M

6,189 claims · 3.7%

Your Cost: $166.76/claim|Median: $121.58
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$806K

9,131 claims · 2.9%

Your Cost: $88.29/claim|Median: $54.68
1.6× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$591K

5,145 claims · 2.1%

Your Cost: $114.80/claim|Median: $35.80
3.2× median
36415Top 5%

Collection of venous blood by venipuncture

$505K

52K claims · 1.8%

Your Cost: $9.67/claim|Median: $1.57
6.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$379K

3,893 claims · 1.4%

Your Cost: $97.27/claim|Median: $75.18
1.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$352K

6,251 claims · 1.3%

Your Cost: $56.29/claim|Median: $84.03
0.7× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$310K

3,106 claims · 1.1%

Your Cost: $99.83/claim|Median: $74.82
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$298K

3,435 claims · 1.1%

Your Cost: $86.85/claim|Median: $69.35
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$297K

4,468 claims · 1.1%

Your Cost: $66.38/claim|Median: $74.09
0.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$233K

2,153 claims · 0.8%

Your Cost: $108.37/claim|Median: $80.15
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$227K

7,316 claims · 0.8%

Your Cost: $31.03/claim|Median: $35.30
0.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$198K

1,934 claims · 0.7%

Your Cost: $102.43/claim|Median: $39.33
2.6× median
99223Normal range

Initial hospital care, per day, high complexity

$195K

3,596 claims · 0.7%

Your Cost: $54.12/claim|Median: $67.32
0.8× median
88342Top 10%

$193K

2,891 claims · 0.7%

Your Cost: $66.79/claim|Median: $23.66
2.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$180K

1,354 claims · 0.6%

Your Cost: $132.67/claim|Median: $106.14
1.2× median
90960Normal range

End-stage renal disease services, per month, age 20+

$170K

3,880 claims · 0.6%

Your Cost: $43.93/claim|Median: $52.76
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$167K

5,808 claims · 0.6%

Your Cost: $28.83/claim|Median: $23.99
1.2× median
88313Top 25%

$166K

2,666 claims · 0.6%

Your Cost: $62.18/claim|Median: $18.95
3.3× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$164K

7,948 claims · 0.6%

Your Cost: $20.68/claim|Median: $9.70
2.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$139K

29K claims · 0.5%

Your Cost: $4.73/claim|Median: $5.60
0.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$136K

1,169 claims · 0.5%

Your Cost: $116.49/claim|Median: $76.06
1.5× median
43239Normal range

Upper GI endoscopy with biopsy

$104K

2,151 claims · 0.4%

Your Cost: $48.48/claim|Median: $151.68
0.3× median
99243Top 25%

Office or other outpatient consultation, low complexity

$98K

931 claims · 0.4%

Your Cost: $105.52/claim|Median: $82.43
1.3× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$95K

5,096 claims · 0.3%

Your Cost: $18.56/claim|Median: $7.18
2.6× median
88312Top 25%

$94K

1,323 claims · 0.3%

Your Cost: $70.73/claim|Median: $24.56
2.9× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$77K

1,564 claims · 0.3%

Your Cost: $48.97/claim|Median: $57.85
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$72K

8,539 claims · 0.3%

Your Cost: $8.44/claim|Median: $9.10
0.9× median
76856Top 25%

Ultrasound, pelvic, complete

$71K

920 claims · 0.3%

Your Cost: $77.31/claim|Median: $47.58
1.6× median
88341Top 25%

$71K

824 claims · 0.3%

Your Cost: $85.60/claim|Median: $45.31
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$70K

8,145 claims · 0.3%

Your Cost: $8.62/claim|Median: $6.61
1.3× median
A9502Normal range

$69K

1,130 claims · 0.2%

Your Cost: $60.87/claim|Median: $54.60
1.1× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$63K

1,496 claims · 0.2%

Your Cost: $41.79/claim|Median: $30.04
1.4× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$59K

593 claims · 0.2%

Your Cost: $99.10/claim|Median: $72.71
1.4× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$56K

1,534 claims · 0.2%

Your Cost: $36.42/claim|Median: $21.41
1.7× median
76536Top 25%

$55K

634 claims · 0.2%

Your Cost: $86.87/claim|Median: $44.06
2.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$55K

12K claims · 0.2%

Your Cost: $4.46/claim|Median: $17.85
0.2× median
76700Top 25%

Ultrasound, abdominal, complete

$51K

521 claims · 0.2%

Your Cost: $97.47/claim|Median: $50.69
1.9× median
99401Normal range

$50K

5,406 claims · 0.2%

Your Cost: $9.19/claim|Median: $16.53
0.6× median
J2785Normal range

$49K

954 claims · 0.2%

Your Cost: $51.03/claim|Median: $61.83
0.8× median
76830Top 25%

Ultrasound, transvaginal

$48K

526 claims · 0.2%

Your Cost: $90.37/claim|Median: $57.47
1.6× median
46221Top 25%

$44K

213 claims · 0.2%

Your Cost: $207.91/claim|Median: $120.31
1.7× median
93015Normal range

$43K

1,416 claims · 0.2%

Your Cost: $30.17/claim|Median: $41.12
0.7× median
90670Top 25%

$40K

2,028 claims · 0.1%

Your Cost: $19.91/claim|Median: $5.94
3.4× median
G0447Top 5%

$40K

1,497 claims · 0.1%

Your Cost: $26.59/claim|Median: $5.19
5.1× median
71046Top 25%

Chest X-ray, 2 views

$40K

1,976 claims · 0.1%

Your Cost: $20.13/claim|Median: $8.92
2.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$39K

1,120 claims · 0.1%

Your Cost: $35.17/claim|Median: $51.25
0.7× median
99406Top 10%

$39K

2,880 claims · 0.1%

Your Cost: $13.44/claim|Median: $6.53
2.1× median
90648Top 5%

$37K

1,918 claims · 0.1%

Your Cost: $19.12/claim|Median: $4.08
4.7× median

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